Evidence map›Paper›PMID 27340676›Full record

SynthesisJournal of diabetes research2016

Silymarin in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Luminita Voroneanu, Ionut Nistor, Raluca Dumea, Mugurel Apetrii, Adrian Covic

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of diabetes research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06801886 (Effect of Silymarin Supplementation on Graft Function and Early Post-transplant Complications), which is not on this map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06801886 phase3enrolling by invitationnot on this mapstarted 2020, after this paper: background citation

Effect of Silymarin Supplementation on Graft Function and Early Post-transplant Complications

TypeinterventionalSponsorUniversity Hospital, MartinRan2020 to 2025Enrolled130ConditionsPosttransplant Diabetes Mellitus, Acute Graft Rejection, Biopsy Proven Acute Rejection, Antibody Mediated Rejection of Kidney TransplantArmsSilymarine supplementation, Placebo Supplementation
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Review
  8. Silybin A fromTheranostics · 2025
    Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Luminita VoroneanuNephrology Department, Faculty of Medicine, University of Medicine and Pharmacy "Gr. T. Popa", 700503 Iasi, Romania.
Ionut NistorNephrology Department, Faculty of Medicine, University of Medicine and Pharmacy "Gr. T. Popa", 700503 Iasi, Romania.
Raluca DumeaNephrology Department, Faculty of Medicine, University of Medicine and Pharmacy "Gr. T. Popa", 700503 Iasi, Romania.
Mugurel ApetriiNephrology Department, Faculty of Medicine, University of Medicine and Pharmacy "Gr. T. Popa", 700503 Iasi, Romania.
Adrian CovicNephrology Department, Faculty of Medicine, University of Medicine and Pharmacy "Gr. T. Popa", 700503 Iasi, Romania.
Grigore T. Popa University of Medicine and Pharmacy · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 2 diabetes mellitus (T2DM) is associated with increased risk of cardiovascular disease and nephropathy-now the leading cause of end-stage renal disease and dialysis in Europe and the United States. Inflammation and oxidative stress play a pivotal role in the development of diabetic complications. Silymarin, an herbal drug with antioxidant and anti-inflammatory properties, may improve glycemic control and prevent the progression of the complications. In a systematic review and meta-analysis including five randomized controlled trials and 270 patients, routine silymarin administration determines a significant reduction in fasting blood glucose levels (-26.86 mg/dL; 95% CI -35.42-18.30) and HbA1c levels (-1.07; 95% CI -1.73-0.40) and has no effect on lipid profile. Benefits for silymarin on proteinuria and CKD progressions are reported in only one small study and are uncertain. However, being aware of the low quality of the available evidence and elevated heterogeneity of these studies, no recommendation can be made and further studies are needed.

Indexed as

AntioxidantsBlood GlucoseDiabetes Mellitus, Type 2Glycated HemoglobinHumansRandomized Controlled Trials as TopicSilymarinTreatment OutcomeAntioxidantsBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanSilymarin

Identifiers

PMID27340676
PMCPMC4908257
OpenAlexW2418362421

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.